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1988年4月～1991年7月,作者为7例胰头腺癌、壶腹部癌行胰十二指肠切除术,改进消化道重建,胰管胃粘膜缝合术,胰断面胃粘膜下埋植术.胰管经胃经鼻外减压引流.手术操作简单、安全、可靠.1 临床资料男性5例,女性2例.年龄45岁～69岁,重度黄疸2例,轻度黄疸4例,1例无黄疸.7例行胰十二指肠切除术后,3例胰管—胃粘膜缝合术,4例行胰管—胃粘膜固定术.病理报告:5例为胰头腺癌,2例为壶腹部腺癌.手术操作 游离胰断端1cm,保留胰管于胰断
From April 1988 to July 1991, the authors performed pancreatoduodenectomy for 7 cases of pancreatic head adenocarcinoma and ampullary carcinoma, improved digestive tract reconstruction, gastric mucosal suture of pancreatic duct, submucosal embedment of pancreatic section. Surgery. The pancreatic duct through the nasal decompression drainage. Surgical operation is simple, safe and reliable. 1 Clinical data in 5 males and 2 females. Aged 45 to 69 years old, severe jaundice in 2 cases, 4 cases of mild jaundice, One patient had no jaundice. Seven patients underwent pancreatoduodenectomy, three patients underwent pancreatic duct-gastric mucosal suture, and four patients underwent pancreatic duct-gastric mucosal fixation. Pathology report: 5 cases were pancreatic head adenocarcinoma, 2 Cases of ampulla adenocarcinoma. Surgical operation free pancreas end 1cm, leaving the pancreatic duct in the pancreas